The purpose of this study was to determine if nurses and families agree regarding the most important needs of families with head injured members in the acute rehabilitation hospital. Furthermore, it was hoped that an understanding of these needs would assist rehabilitation nurses in developing appropriate nursing interventions to assist families in fulfilling their perceived needs.
subject
Nursing Head- Wounds and injuries Nurse and patient
The purpose of this study was to develop and evaluate a performance evaluation tool for use by the preceptors in a particular orientation program. The tool was devised by an ad hoc committee of five preceptors appointed by the Staff Development Coordinator. It was expected that an easy to use but consistent tool to evaluate the preceptees would increase the effectiveness of a preceptor program., Copyrights are retained by the author. Please contact Teri Swartzbeck for further use of this material.
subject
Nursing Nursing- Studying and teaching (Preceptorship)
The purpose of this research study was to ascertain if there was a difference between the amount of analgesic patients used postoperatively with Patient-Controlled Analgesic and with what the patients received intramuscularly from the nursing staff., Copyrights are retained by the author. Please contact Sandra Johnson for further use of this material.
subject
Nursing Analgesics Hospitals-Drug distribution systems
The purpose of this study is to further understand social support as one of the psychosocial factors affecting diabetes adherence, and to look at this factor in relation to diabetes education programs. The other purpose of this study is to
assist in the search for a meaningful, practical psychosocial assessment tool for diabetes programs., Copyright is retained by the author. Please contact Catherine Gutowski for further use of this material.
The purpose of this study is to explore the concept of depression as it may relate to patients' behavior following coronary artery bypass surgery. Based upon research findings, nursing interventions may be able to moderate the incidence of depression after surgery. Depression can be caused by a change in life style, realization of mortality, and financial loss. Since the bypass surgery patient must significantly alter his life style if he is to maintain patency of the grafts and progress through rehabilitation, his chances of developing depression are high. Nurses are in the position to assist the patient to make successful changes and deter depression, hopelessness, helplessness, and anxiety. A nurse*s personal contact may help to clarify the patient's awareness of post-operative recovery. Providing information and assisting in the development of effective coping strategies may prevent the effects of depression. Such interventions are a part of the role of the cardiac nurse., Copyrights are retained by the author. Please contact Katherine Gustafson for further use of this material.
subject
Nursing Mental health services Heart-Diseases-Nursing
The purpose of this study is to investigate the preparation of faculty in baccalaureate nursing programs to work with adult learners, evaluate their knowledge of the characteristics of adult learners and andragogical approaches to education, and assess whether these nurse educators use andragogical teaching strategies when working with adult learners in nursing education., Copyrights are retained by the author. Please contact Linda Elizabeth Wiley Gilbert for further use of this material.
Patient care has become increasingly more complex. As a result, the need for accurate communication among all members of the health care team has become even more critical. The nurse can be considered the focal point of the communication network among the healthcare team. The nurse is the member of the team who has the most frequent contact, and in some cases, the first contact with the patient. The nurse is the person who implements the physician's orders, plans the patient's care and coordinates all the activities relating to the health care services required by the patient during hospitalization., Copyrights are retained by the author. Please contact Kathleen Crane for further use of this material.
subject
Nursing Medical records Medical records Technology
Although nursing is the largest occupational group in the health care industry, it is always facing reports of local manpower shortages. The prospective payment plans, diagnostic related groupings, and other trends toward declining profit margins in the health care industry today have made it necessary to take a more in depth look at nurse retention in terms of dollars and cents as well as job satisfaction. Nurses currently have a three to five year average work life in a hospital setting before moving on to another setting or out of nursing. Recent investigations have shown that although large numbers of new nurses are not being recruited, the shortage could be remedied by retaining nurses that have already been educated., Copyrights are retained by the author. Please contact Nancy Carr for further use of this material.
The decade of the 1980s has been the era for health protection and health promotion. Health professionals believe that individuals can do a great deal to promote, maintain, or regain their health. Health protection is directed toward decreasing the
probability of experiencing illness by active protection of the body against pathological stressors or detection of illness in the asymptomatic stage. Health promotion is directed toward increasing the level of well-being and self-actualization of an individual, and it focuses on movement toward a state of health and well-being. Illness and disease appear to have little motivational significance for health-promoting behavior. Desire for growth, expression of human potential, and quality of life provide the motivation for health-promotive behaviors., Copyrights are retained by the author. Please contact Marilyn Brody for further use of this material.
subject
Nursing Health Belief Model Locus of control Intensive care nursing
Documentation is an integral aspect of nursing. "Professional nursing documentation fosters respect and recognition for the professional nurse." It has an impact upon nursing and the health care delivery system in the areas of quality patient care, legalities, and financial reimbursement. Quality care cannot occur unless there is precise and current documentation in the patient record. This ensures that continuity of care can take place as the patient’s health status is accurately communicated from one health care professional to another., Copyrights are retained by the author. Please contact Barbara Arvanitopulos for further use of this material.
subject
Nursing Medical records Nursing records Medication errors Technology
Legionnaire’s Disease (LD) is an acute pneumonia caused by the bacterium Legionella pneumophila. Undiagnosed LD can be particularly severe since Legionella infections generally do not respond to the antibiotics used to treat most pneumonias. Patients on immunosuppresive therapy are at an increased risk to develop potentially life-threatening infections. At our institution Legionnaire’s Disease was diagnosed in three oncology patients and was associated with a contaminated hot water system. It was found that the hand-held showers in patient rooms were heavily colonized with Legionella and environmental eradication procedures greatly reduced the colonization of Legionella within the hot water system. Clinical awareness of Legionella as a potential cause of nosocomial pneumonia is necessary to rapidly diagnose and treat future outbreaks of LD., Copyrights are retained by the author. Please contact James F. Annett for further use of this material.
The widespread and continuing implementation of primary nursing in acute care hospitals reflects a momentum for change in response to nurses' dissatisfaction with lack of patient contact and fragmented patient care. The nursing literature throughout the last decade contains numerous articles discussing primary nursing. A review and critique of this literature in 1980 found that most of what was published on primary nursing, a delivery system or organizational mode for inpatient units, focused on implementation, patient satisfaction, nurse satisfaction, quality of care, and cost effectiveness. Most articles implied that primary nursing is superior to other modes or delivery systems, however, the authors pointed out that no systematic, controlled research into the differences between team and primary nursing has been conducted. Definitions of primary nursing are not uniform throughout the literature, but almost all reports and articles on the subject stress that the basic requirements are autonomy, authority, and accountability in the primary nurse*s role. The more recent books and articles on primary nursing have related implementation strategies and processes to a variety of other health care issues,
especially professionalization of nursing and need for leadership development in this field., Copyrights are retained by the author. Please contact Elizabeth Beidler for further use of this material.
In nursing, two major socialization/resocialization processes have been described by researchers: first, the initial adult socialization period in which lay people are socialized into the nursing profession through a formal education process, and, secondly, the resocialization process that occurs as graduate nurses leave their formal educational programs and enter the work setting for the first time., Copyrights are retained by the author. Please contact Mary Ann Lubiejewski for further use of this material.
Since 1965 the nation's population as a whole has increased by 19 percent. In comparison, the sixty-five and over age group has expanded by 35 percent. More and more of these elderly are maintaining a healthy, independent existence in our society and are capable of continued growth and development. One specific area of concern for health care professionals working with this growing segment is the development and maintenance of a healthy mental attitude by the aged. However, there has been limited research conducted to determine the characteristics of mental health, and the term remains ambiguous. Humanistic psychology emphasizes the positive aspect of man developing to his optimum human potential., Copyrights are retained by the author. Please contact Janice Giltinan for further use of this material
Problem solving as the basis for all nursing intervention is a recent development in professional nursing. Historically nursing has been a "hands on" occupation where the nurse provided care on the intuitive level. However as health care has increased technologically, nursing has been forced to develop a theoretical knowledgebase and become more sophisticated in its practice, the change in nursing from a practicing occupation to a practice discipline has placed the burden of accountability upon each practitioner. The image of the practice of nursing began to change in the 1950*s when the Brown Report was published. It focused attention on the appropriateness of the term professional when referring to nursing. Since then there has been an ongoing discussion about whether nursing exhibits the characteristics of a profession. Attempts have been made to define nursing functions in relation to professional activities with minimal success, and thus the debate about nursing as a profession continues., Copyrights are retained by the author. Please contact Linda Benson for further use of this material.
The problems of inflationary costs of health care are not new to analysts of this phenomenon, and have been addressed in the literature for some time. As the problem is not new, neither is its development. Health care costs have been escalating for decades and the historical evolution can be traced to the post World War II era. At that time federal legislation encouraged dollars to be directed toward the expanding technological industry of health care and little thought was given to cost containment. This also proved to be true of the later Medicare/Medicaid legislation and large third party payers such as Blue Cross and Blue Shield. With the responsibility of out-of-pocket payment taken away from the consumer and assumed by third party payers, the individual gradually lost track of the actual cost of health care. The final bill for treatment has become of little consequence to consumers as well as institutions because someone else is picking up the tab., Copyrights are retained by the author. Please contact Kimberly Windsor for further use of this material.
The American Nurses Association (ANA) published their position on Education for Nursing in 1965. This paper defined professional nursing and technical nursing as the two levels of nursing. The minimal educational preparation for professional nursing should be the bachelors degree in nursing. An associate degree in nursing should be the minimal requirement for the practice of technical nursing. The position paper advocated phasing out diploma education for registered nurses. It acknowledged practical nursing as a growing occupational trend and proposed replacing programs for practical nursing with programs for technical nursing., Copyrights are retained by the author. Please contact Sheila Warner for further use of this material.
subject
Nursing Studying and teaching Practical nursing Nursing Law and legislation
This descriptive, non-experimental study was designed to examine the differences in the degree of professional socialization among nursing students at two academic levels. The object of this study was to
measure the socialization to the professional nursing role amongst students in ADN and BSN nursing programs and provide nurse educators with pertinent information on which to build and advance nursing professionalism. The two groups of senior nursing students from two universities in Northwestern Pennsylvania and Southwestern New York formed the sample for the study. Stone's Health Care Professional Attitude Inventory as modified by Lawler was used to ascertain degree and differences of professional socialization in the two groups. The two groups of students, ADN (n = 19) and BSN (n = 44), were compared on the dimension of "professionalization." The data was analyzed by using an analysis of variance (F-test) for each of the six subscales of the tool. The results revealed an f-value of 5.68 which was significant at the .05 level for the 6th subscale which measures compassion. The data as analyzed revealed f-values which were not significant for any of the other subscales or the total score. The finding indicate that the level of professionalism exhibited by the BSN students was not significantly different from that of ADN students., Copyrights are retained by the author. Please contact Marie Langdon for further use of this material.
Nursing has been striving for years to improve its status within the health care delivery system. In trying to achieve professional status nursing must define its particular contribution to health care that is unique and valued by the consumer. The opinions of consumers and nurses are important and can provide valuable input regarding nursing practice. Over the past twenty-five to thirty years a wide variety of studies have been implemented in order to determine exactly what consititutes nursing practice—what it is as well as what it should be. Physicians, nurses, patients and the public have offered opinions regarding nursing activities and how these activities should be organized and implemented. Different research methods and statistical analyses have been used and the findings have been conflicting. One consistent research finding has been that, especially in hospital settings, patients, physicians, and nurses agree that the most important nursing activities are related to physicians* orders. This is understandable in light of the fact that people come to hospitals under a physician’s care seeking a medical service and traditionally, nurses have been held most accountable for efficient and accurate execution of physicians* orders., Copyrights are retained by the author.
subject
Nursing Hospitals Nurse and patient Social perception
This non-experimental, descriptive study was designed to investigate the learning style preferences of professional nurses for two different teaching methodologies using Knowle's adult learning theory. The purpose of the study was to give nurse educators direction in choosing an instructional method. Two separate groups of professional nurses from an acute health care facility in Northwestern Pennsylvania formed the sample for the study. The professional nurses' preferences about the method of teaching after a one hour course were compared. Group A (n=16) was given the lecture teaching method. Group B (n=14) was given the self-study packet teaching method. The Affective Measure Questionnaire was used to collect the data. The data was analyzed by using the t-test. The results revealed a t-value of 6.75 which was significant at the .05 level. The findings indicated that the lecture teaching method was preferred over the self-study packet teaching method by the professional nurses., Copyrights are retained by the author.
subject
Nursing Studying and teaching Lecture method in teaching Education, Nursing